0000902664-14-004589.txt : 20141215 0000902664-14-004589.hdr.sgml : 20141215 20141215170131 ACCESSION NUMBER: 0000902664-14-004589 CONFORMED SUBMISSION TYPE: 15-12B PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20141215 DATE AS OF CHANGE: 20141215 EFFECTIVENESS DATE: 20141215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fortegra Financial Corp CENTRAL INDEX KEY: 0001495925 STANDARD INDUSTRIAL CLASSIFICATION: INSURANCE AGENTS BROKERS & SERVICES [6411] IRS NUMBER: 581461399 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 15-12B SEC ACT: 1934 Act SEC FILE NUMBER: 001-35009 FILM NUMBER: 141287428 BUSINESS ADDRESS: STREET 1: 10151 DEERWOOD PARK BLVD STREET 2: BLDG. 100, STE. 330 CITY: JACKSONVILLE STATE: FL ZIP: 32256 BUSINESS PHONE: 904-416-1539 MAIL ADDRESS: STREET 1: 10151 DEERWOOD PARK BLVD STREET 2: BLDG. 100, STE. 330 CITY: JACKSONVILLE STATE: FL ZIP: 32256 15-12B 1 p14-2327form15_12b.htm
 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 
FORM 15
 
CERTIFICATION AND NOTICE OF TERMINATION OF REGISTRATION UNDER SECTION 12(g) OF THE SECURITIES EXCHANGE ACT OF 1934 OR SUSPENSION OF DUTY TO FILE REPORTS UNDER SECTIONS 13 AND 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
 
  Commission File Number 001-35009
 
FORTEGRA FINANCIAL CORPORATION
(Exact name of registrant as specified in its charter)
 

10151 Deerwood Park Boulevard, Building 100

Suite 330

Jacksonville, Florida 32256

(866)-961-9529

(Address, including zip code, and telephone number, including area code, of registrant's principal executive offices)
 
Common Stock, $0.01 par value
(Title of each class of securities covered by this Form)
 
None
(Titles of all other classes of securities for which a duty to file reports under section 13(a) or 15(d) remains)
 
Please place an X in the box(es) to designate the appropriate rule provision(s) relied upon to terminate or suspend the duty to file reports:
 
  Rule 12g-4(a)(1) [X]
  Rule 12g-4(a)(2) [_]
  Rule 12h-3(b)(1)(i) [X]
  Rule 12h-3(b)(1)(ii) [_]
  Rule 15d-6 [_]
 
Approximate number of holders of record as of the certification or notice date: 1  
 
Pursuant to the requirements of the Securities Exchange Act of 1934 Fortegra Financial Corporation has caused this certification/notice to be signed on its behalf by the undersigned duly authorized person
 
  FORTEGRA FINANCIAL CORPORATION
 
Date: December 15, 2014   By: /s/ Richard S. Kahlbaugh  
        Richard S. Kahlbaugh  
        President and Chief Executive Officer